May 2015 Entries

Avoiding Bad Breath – How caring for your teeth and mouth can reduce bad breath


Bad breath is a huge turnoff to people.  Meeting people for the first time may wind up being your last time if your breath stinks!  Bad breath and halitosis can make you feel self conscious and embarrassed.  However, your dental professional can recommend you good ideas on how to combat bad breath.  This may in turn lead you to better success with business, dating, and have a better self confidence.


Here are some helpful tips to utilize in order to decrease bad breath and or halitosis:


Don’t eat certain smelly foods.  There are dead giveaways in terms of what foods to avoid. Foods such as garlic, onion, and spices such as curry can leave a long and lasting odor in your breath.  Usually these foods make their way into your blood stream and can even get into your lungs.  Not even brushing can help once it gets that far.  If you have a big social meeting or a date avoid eating these types of foods. 


Brush twice daily and floss once daily.  Plaque buildup can contribute to bad breath.  It couples with food particles that get caught between your teeth to enact a rotting smell.  Be sure to put in the time to floss as that is the best way to remove the food particles caught between teeth.


Buy a tongue scraper and scrape your tongue daily.  It doesn’t have to be hard, just a once or twice over daily will help remove old and dead cells, food and bacterium.  You can purchase a tongue scraper at most pharmacies.  Along with a tongue scraper be sure to use mouth rinse.  Mouth rinse can be a quick fix if needed on the spot.  However, daily use will help kill of any bacteria in the mouth.


Not smoking will help reduce bad breath.  Tobacco and other smoke particles can stay in the mouth for days after a cigarette. Additionally, you will have a smoke smell that can linger long after brushing and rinsing with mouthwash is over. Don’t start and you won’t have an issue quitting! 


Stay hydrated with plenty of liquids.  Being hydrated helps keep a good flow of saliva in the mouth.  Make sure you have a steady stream of saliva in your mouth.  An excess of saliva is a usually a good thing and helps carry food particles away so they don’t linger and turn into odor causing bacteria. 


Try and avoid sweets.  Usually sugar and sweets foster a greater area for bacteria to live and grow.  If you’re going to have sugary sodas, drinks, candies and others be sure to rinse with mouthwash.   Ideally, if you could, try and brush your teeth and tongue after ingesting the sweets and or sugar.  Finally, you can visit your dentist for other helpful recommendations on reducing bad breath.

An introduction to gingivitis and periodontal diseases


Gingivitis and periodontal disease belong to the group of diseases of the supporting apparatus of teeth. According to numerous international studies, these diseases, in addition to dental caries, are the most widespread diseases in humans. It is believed that the vast majority of adults and about 30% of children have this disease and what makes them even more serious is the fact that they are the major cause of tooth loss in people over the age of 45. So, what exactly are these diseases?

First and foremost, the supporting apparatus or periodontium consists of tissues which surround the tooth providing support and enabling the tooth’s proper functioning. These tissues include gums, periodontal tissue that links the root of the tooth with the jaw bone, cement root canal and the jaw bone itself. Accordingly, when the process affects only the gums we can witness gingivitis and when it spreads to the entire apparatus we can witness the formation of periodontal disease.

The cause of these diseases is well-known. Of course, we are talking about the deposits on the teeth – dental plaque. Dental plaque is made of microorganisms. These microorganisms, together with the risk factors such as poor oral hygiene, inadequate nutrition, caries, smoking, excessive use of alcohol and similar activities lead to the development of these diseases. If the plaque is not removed from the teeth than the minerals in the saliva begin to accumulate resulting in tartar which only accelerates the disease. At the beginning, only the gums that are slightly swollen, red and bleeding are affected. People can also experience a feeling of tingling or burning in this area. As the infection makes progress, some other areas including supporting tissues and the bone jaw are affected and this is how periodontal pockets are formed. They are creating a purulent exudate which causes bad breath. The teeth start losing their support, they begin to sway and move and fall off.

The treatment of these diseases depends on the stage of the disease. If it is in its initial stage, the treatment is limited to the elimination of infection and to methods of detecting and removing dental plaque and tartar. It is really important to remove all risk factors during this stage in order to prevent further development of this disease. In case the periodontal pockets have already occurred the main goal of the therapy is to remove all diseased tissue with curettage and eliminate or reduce their depth. If this doesn’t work, a surgical procedure will be the only option. 


Bad breath – causes and treatment


Bad breath, also known as halitosis, can be caused by many factors such as food, decayed teeth, gum disease, cigarette smoking, dry mouth, diseases of the sinuses or airways, certain general health conditions, use of certain medications or inadequate oral hygiene. Your dentist can help you find the exact cause of this phenomenon and if it is related to your mouth, they will provide an appropriate therapy.

Causes and treatment

Everything that we consume determines the breath in our mouth. Certain foods, such as onions, contribute to unpleasant breath. When the food is absorbed into the blood it is transferred all the way to the lungs where it is exhaled through the nose and mouth. Brushing your teeth, using mouthwash or floss may hide bad breath, but only for a limited period of time. Only when the food is completely processed in the system the bad breath will disappear. In addition, irregular diet can also lead to bad breath. If you don’t maintain proper oral hygiene, particles of food will remain on the teeth, tongue and gums and produce large amounts of bacteria that will create odor when they start rotting and fermenting.

One of the serious signs of gum disease is a constant bad breath or unpleasant taste in your mouth. These diseases are caused primarily by dental plaque, a colorless sticky substance packed with bacteria that constantly forms on teeth. The bacteria produce toxins that damage and irritate gums. In the advanced phase of this disease the damage is transferred from the gum to the teeth and bone and if the patient doesn’t take any actions they may experience tooth loss. Regular dental check-ups can help you detect such occurrence on time and prevent further progression of the disease and ultimately eliminate bad breath. If you have this problem, the dentist may prescribe the use of artificial saliva or suggest using sugarless candy or chewing gums that will increase the secretion o saliva or to increase liquid intake.


The elimination of oral diseases and disorders and maintenance of good health is an essential factor. Regular visits to the dentist’s office for examinations and tartar removal are also necessary. Avoid foods that cause bad breath. Brush your teeth after every meal and at least twice a day – in the morning and before you go to bed. Remember to brush your tongue and use dental floss too.  


Common problems with third molars


The third molar, also known as wisdom tooth, is the eighth and last tooth that grows in the jaw. It usually appears in the 20s when a person becomes ‘wise”. This is actually a residue of evolution when people needed all their teeth for crushing and grinding hard food. Today, these teeth, because of the types and ways of food consumption, have lost their purpose. Since they can lead to many problems in the mouth, it is possible that you will have to face their extraction at some point of your life.

Due to their location in the mouth, it is much more difficult to maintain and monitor their state. Wisdom teeth are often pushing surrounding teeth and making trouble in the jaw. In such cases, it is good to remove them as soon as possible even if they are healthy in order to prevent potential problems. When and how will third molars be extracted depends on the issues you have.

If there is a cyst around a wisdom tooth this means that the neighboring teeth are in danger too. Such extraction is more complicated because the cyst is practically a hole in the bone and at that point the bone is a lot thinner. If the intervention is rough it can lead to cracking of the jaw. A similar situation exists when third molars don’t have enough room to grow properly and as a final result an infection grows around this area. If the infection reappears it may also lead to destruction of the bone. In the case of dislocation, wisdom tooth may grow below the gingival edge, sideways, pushing the roots of adjacent teeth and causing a lot of pain. However, if it grows away from the dental arch it can rest and in this case we should perform regular check-ups.

Wisdom teeth are also extracted in cases of growing which results in compression of existing teeth and this is an especially unpleasant occurrence when the teeth have orthodontic great line-up because wisdom teeth can ruin this line=up. Your dentist will be able to see what exactly is going on at an orthopantograph (X-ray of your teeth).

If you have chosen extraction, you should do this as soon as possible, preferably in your twenties while the root of the teeth and jaws are not yet fully developed. In the thirties the bones will become hardened and recovery will take longer.


Dental cysts and granuloma


Periapical lesion is a term used to describe various inflammatory changes and processes around the tip of the root (in the bone surrounding the tooth).

There are many things that can cause these changes and the most common one is the infection of the dental pulp, or tooth nerve to be more precise, which occurs as a result of untreated caries. The infection spreads from the root canal in the area around the teeth and leads to serious inflammation of the tissues located around the root top. The cause may be trauma that also leads to the atrophy of the tooth pulp.

In most cases, these lesions have a chronic course from the beginning and they are fully asymptomatic. In some cases, we can notice a fistula opening just above the problematic tooth. This opening is located on the mucous membrane in the form of small lumps with reddish color and yellow dot in the center from which certain content comes out once in a while. The tooth with tooth nerve necrosis usually darkens and this is often the only change that patients notice. The symptoms depend on the number, types and virulence of microorganisms found there and the immunological capacity of the system. When the immune system is weakened the symptoms become more visible.

Acute dental infections can occur in two basic forms – abscess and cellulitis.

Abscess is a clearly limited suppurative inflammation. Its development goes through several phases. The periodontic phase is the initial phase that leads to inflammatory changes that are limited to the fibers found in the tooth socket. There are no subjective symptoms. The tooth may be sensitive when chewing. The second phase or intraosseous phase leads to creation of pus in the bone, near the roots of the teeth. The clinical picture is dominated by pain that is strong and permanent. Pain may spread diffusely towards the ears, eyes and the opposite jaw bone. The tooth is very sensitive even to the slightest touch. There is no tissue swelling. Subperiostal phase starts with further spreading of the pus though the bone and the pain becomes unbearable. The infected tooth becomes instable. Sub-mucous phase is the phase when the pus is discharged in the soft tissues. The pain is becoming weaker and the skin over the swelling becomes red and shiny.

Cellulitis is a diffusive suppurative inflammation characterized by swelling which can affect the entire half of the face and neck.    




The lack of one or more teeth is very common not only among adults, but also among a large number of children and therefore represents a significant problem for modern dentistry. Edentulism s a syndrome and condition characterized by a loss of permanent teeth in the dental arch of the lower or upper jaw. This is not a disease, but a state that occurs as a result of dental diseases and diseases that affect the supporting tissue, bones or other tissues found in the oral cavity.

What are the most common reasons that lead to tooth loss? In the first place – caries. It is food to point out that if we don’t take measures in the beginning the damage with affect not only the dental crown, but also the root and even the bone and the only way to eliminate this problem at that moment is tooth extraction. Periodontal disease is another reason that leads to edentulism. This disease leads to loosening and swaying and eventually to the loss of teeth.  Different teeth and jaw injuries can also cause teeth loss. Development disorders like irregularities in the number of teeth are one of the many factors that contribute to the lack of teeth. But, regardless of the cause, the consequences are always the same.

The lack of teeth causes movement of the remaining teeth to edentulous area, they receding towards the empty space and even horizontal movement in that area, rotation around the longitudinal axis of the tooth as well as receding to the opposite empty area. All these things lead to a change in the relation between upper and lower jaw bones which later leads to changes and painful experience in the jaw joint. Tooth loss causes interference and difficulties in chewing, speech, and swallowing as well as aesthetic problems. A proper therapy is very important and thanks to modern technology and materials this treatment is very successful.  The lost teeth are replaced with prosthetics that can be fixed or mobile.

Fixed prosthetics are not removed from the mouth and depending on how many teeth they replace; they are divided into two groups – crowns and bridges. On the other hand, mobile prosthetics or dentures can be removed from the patient’s mouth and they can be partial or complete. There are several different types of partial dentures.

Your clinical picture and your dentist’s opinion will determine the type of prosthetic device you will get.